Home' Trinidad and Tobago Guardian : January 17th 2016 Contents A23
January 17, 2016 www.guardian.co.tt Sunday Guardian
Appointed to Enquire into the
Construction of the
Las Alturas Towers located at
Lady Young Gardens, Morvant
FIFTH EVIDENCE HEARING
The Fifth Evidence Hearing
of the Commission appointed to
enquire into the Construction of
the Las Alturas Towers located at
Lady Young Gardens, Morvant is
scheduled to run from -
Monday 18th January to
Friday 29th January, 2016
9:30 a.m. to 2:30 p.m.
The Caribbean Court of Justice
#134 Henry Street
An offshore marine service company is currently recruit-
ing seafarers with the following minimum qualifications to
fill positions aboard its vessels:
• Master (less than 500gt) STCW 11/3
• Mate STCW 11/3
• Chief Engineer (less than 3000KW) STCW 111/3
• Assistant Engineer - Launch Engineer
• Cook - Basic Safety Training (Seaman Class 11)
and evidence of training as a cook.
• Deck Rating - Able Seaman (Seaman Class 1) or
Efficient Deck Hand (Seaman Class 11).
Prior service onboard offshore support vessels will be
considered an advantage.
Please submit your resumes to either of the following
before 5th February 2016.
1. Email address: firstname.lastname@example.org
2. Mail: P.O. Box 94, San Fernando
For those who are aficionados in
American politics will be well aware
of Obama s State Of The Union speech
which was delivered earlier this week.
I am not particularly versed in Amer-
ican politics, being partial to the West-
minster system. Nonetheless, in this
day and age of digital technology you
can t help but have it streamlined
through your phone at every instance.
What struck me was the headlines
where he put a moonshot challenge to
Vice President Joe Biden to work
towards a cure for cancer, often cited
as the holy grail and one of the most
elusive achievements in modern med-
icine. As we are all aware, in Trinidad
it is quite common that either we know
someone or have loved someone who
has been affected by cancer.
In my own practice, I have seen the
rate of breast cancer rise to an unprece-
dented level, affecting younger and
younger women, and this is of great
concern to us. Is the cure for breast
cancer a dream, is the cure for any form
of cancer a dream or is it a reality?
I do believe it is a reality, and I am
excited to see that Barack Obama, who
has been one of the greatest orators
and motivators in modern western
hemispheric politics, take up that chal-
lenge and throw the gauntlet down to
his vice president.
The treatment of cancer has changed
significantly over the last ten years---
we have gone from rudimentary con-
cepts of examining a patient and mak-
ing diagnosis based on an operation,
to making diagnosis using mammo-
grams and ultrasound, and now towards
using cutting edge science through a
sample of blood which is becoming
more and more a reality as it moves
from the bench in the lab to bedside.
Medical technology using a droplet
of blood is now being pioneered where
a myriad of tests can now be done and
many conditions diagnosed. Just as we
diagnose diabetes through a blood test,
I do believe that technology is close at
hand to be able to diagnose many forms
of cancer long before it can show up
on a mammogram or a CT scan.
Therein lies the dilemma, that if we
are able to diagnose breast cancer from
a droplet of blood how do we know
which breast it would actually be affect-
ed and more so, how do we treat it?
These are challenging questions which
no doubt would raise ethical dilemmas
as well, but the important thing is that
we are able to embrace these earlier
technologies and so move towards a
cure. At present, there is active tech-
nology in the clinic that uses DNA and
genetic fingerprinting to be able to tai-
lor-make and individualise treatments,
so that when each woman s breast can-
cer is diagnosed and has its own genetic
portrait, it is analysed and assimilated
and then treatments that are based on
these particular fingerprints are engi-
neered and able to be administered.
Soon we will see the advent of vac-
cines against the relapses of cancer and
potentially, vaccines to prevent cancer.
These are not dreams but are in fact
already in trials and form exciting
avenues of opportunities. So I am excit-
ed about this little snippet that forms
a soundbite in President Obama s State
Of The Union speech.
I am excited that we could live to
see the next frontier as one of the tech-
nological giants in the world take up
the mandate to try and achieve a cure
for cancer. It would indeed be a won-
derful gift to the year 2016, and I look
forward to it.
• RS Rampaul, breast and reconstruc-
tive surgeon, surgical oncologist, Pink
Hibiscus, Adam Smith Square, Wood-
brook, 627-1010, www.pinkhibiscustt.com.
the cure for cancer
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